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Using the Stryker T4 Personal Protection System For High-Risk Procedures During SARS Outbreaks

Using the Stryker T4 Personal Protection System For High-Risk Procedures During SARS Outbreaks. Randy Wax, MD, FRCPC (Critical Care) Laurie Mazurik, MD, FRCPC (Emergency Medicine) Vagia Tsiaousidis Campbell, RRCP Prepared on behalf of the Greater Toronto Area

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Using the Stryker T4 Personal Protection System For High-Risk Procedures During SARS Outbreaks

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  1. Using the Stryker T4 Personal Protection System For High-Risk Procedures During SARS Outbreaks Randy Wax, MD, FRCPC (Critical Care) Laurie Mazurik, MD, FRCPC (Emergency Medicine) Vagia Tsiaousidis Campbell, RRCP Prepared on behalf of the Greater Toronto Area Critical Care/Emergency Medicine Advisory Group

  2. Indications for personal protection systems during SARS outbreak Patient • Known or suspected SARS • Respiratory failure of unknown etiology when SARS cannot be ruled out Procedure • Intubation • Extubation • Bronchoscopy

  3. Stryker T4 Personal Protection System • Stryker T4 was designed for orthopedic surgeons performing total joint replacements to protect patient from contamination by surgical team • This system provides total body droplet protection from the patient

  4. Stryker T4 Personal Protection System • Use of this system is consistent with the “Directives to All Ontario Acute Care Hospitals for High-risk Procedures in Critical Care Areas During a SARS Outbreak” (Directive 03-06, May 1/2003)

  5. Before putting Stryker suit on Surgical cap Secure goggles with elastic strap or tape glasses N95/N100 mask (new if time permits) One pair gloves Gown Surgical scrubs Note: don’t wear fabric shoes

  6. Get helmet Note: these helmets should be stored and covered in plastic (not as shown here).

  7. Put helmet on

  8. Adjust headband

  9. Get battery

  10. Plug helmet cable into battery

  11. Secure cable connection with tape

  12. Assistant helps you gown

  13. Lift visor towards helmet

  14. Visor slot to helmet hook

  15. Place slot on hook

  16. Attach top velcro

  17. Lift hood over helmet

  18. Pull hood down

  19. Attach bottom velcro

  20. Pull zipper down

  21. Secure ties

  22. 2nd pair of gloves (surgical)

  23. Extend glove over cuff of toga

  24. Tape outer gloves to toga

  25. Enter room

  26. Perform high risk procedure

  27. If intubating, confirm with EtCO2 Remember, you can’t use a stethoscope!!!

  28. Go to doorway

  29. Present back to assistant

  30. Assistant unfastens ties

  31. Unzip toga

  32. Disconnect cable from battery back

  33. Go back inside

  34. Pull shoulders of toga forward

  35. Pinch cuff and outer glove

  36. Peel down to knuckles

  37. Repeat with other hand

  38. Detach top velcro

  39. Detach bottom velcro

  40. Lift off hook and slide hood forward

  41. Pull hood down

  42. Rest hood on chest

  43. Remove hand from outer glove

  44. Repeat with other hand Use free hand under gown to pull 2nd glove off

  45. Roll toga down arms and away

  46. Begin turning toga inside out Remember the inside surface of the toga is clean. Wrap clean inside around contaminated exterior when removing toga. Don’t touch the outer surface of the toga once the outer gloves are removed.

  47. Take one hand out

  48. Only touch clean side of toga

  49. Remove other hand

  50. Touch only clean part of toga while rolling down

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